Larry Pennington, RPH Valid NPI
Individual provider · Pharmacist · Conyers, GA
- NPI
- 1427595826
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 13093 (GA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2017-01-23
- Last updated
- 2017-01-23
Practice location
2455 Salem Rd Se
Conyers, GA 30013-6316
(770) 922-3507